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APPENDIX H <br />CITY OF EUGENE <br />STANDARD CONTRACT COVER SHEET <br />Contract Number O <br />Title or Purpose of Contract <br />.Amount: S Account Code: <br />Contractor's Name: <br />Address: <br />Responsible Departmenr:__~ <br />Other Departments Involved: _ <br />Contract Administrator: <br />Signatures (Cheek): iYJ 6iFy--p{eneyor MvIA t, ED Finance Officcr <br />Manner of Award: L~ Formal Bid = Formal Quotation <br />In File Required <br />General Requirements <br />I--t i ' I. Eugene's standard contract <br />provisions <br />2. <br />Hold harmless clause and <br />proof of insurance coverage <br />refer to Appendix "A" CEPCPM <br />t_J 1 ' 3. <br />Independent contractor's declaration <br />cf "A" CEPCPNl <br />1 1 t 1 4. <br />Performance bond <br />t 1 1 1 5. <br />Bid tabulation and record of <br />bid invitation <br />or <br />quotations <br />or <br />proposals and requests for proposals <br />' 1 1 6. <br />Affidavit of contractor's <br />compliance <br />t 1 i 7. Agency approval for final payment <br />on federal or state projects <br />1 L_ 8. Review and approval - City Atty. <br />' 9. Council approval <br />Date: <br />t 1 i 10. Resolution Nro.'' <br />'i 11. Other <br />If Contract is for Right-of-Way Property Appraisal <br />1 1 t 1. Appraisal specifications, <br />drawings and maps <br />2. Agreement for appraisal form <br />(with HUD or DOT fends) <br />t 1 3. Appraisal review, a>reement <br />(with HUD or DOT funds) <br />If Contract is for Professional Services <br />t 1 1. List of consultants contacted <br />1 2. Selection committee <br />recommendations <br />If Contract is for Capital Improvement <br />t 1 1. Contractor's notice of award <br />t t i 1 o.oie^_t .vork Schedule <br />1 1 3. Inspection reports <br />1 4. Wage certifications <br />5. Final release certificate <br />6. Contract estimate report <br />(CA-18 & 19-progress payments) <br />i ' t 1 7. Notice of proposed call for bids <br />and assessments (public works <br />capital improvement assessed) <br />DEPARTMENT OF FINANCE <br />DATE RECEIVED FOR FILING <br />AUG 241983 <br />4 <br />FILE NO. OR REF. <br />Phone: <br />Phone: 5a' SL <br />tJ Contractor <br />,J Professional Service <br />6t File Required <br />If Contract is for Community Development Project <br />1 ' I. Certification of contractor's <br />eligibility <br />1 ' 2. Notice of preconstruction conference <br />1 1 3. Notice of Section 3 contract award <br />4. Preconstruction conference summary <br />5. Minority standards form <br />L 1 t 6. Neighborhood group recommendation <br />(over 510,000 only) <br />' 7. Certification of non-segregated <br />facilities <br />t 8. Certification of equal employment <br />opportunity <br />' 9. Contractor's notification of <br />sub-contract awarded <br />t 1 1 10. Contracting a'ctiviry repot, <br />11. Preconstruction conference summary <br />checklist <br />If Contract is for HCC Rehabilitation Loan <br />1. <br />Promissory note <br />t 2. <br />Mortgage <br />3. <br />Mortgage title insurance policy <br />4. <br />Borrower's loan application <br />1 1 5. <br />Credit Report <br />' 6. <br />Advice to borrower <br />7. <br />Order to proceed <br />8. <br />Loan disbursement record <br />9. <br />Contract completion affidavit <br />If Contract is for Sale of Land and Private Development <br />1 t 1. <br />Development documents and offering <br />d <br />h <br />l <br />u <br />sc <br />e <br />e <br />1 1 2. <br />Land sale notice and development <br />proposal solicitation <br />t 1 i 3. <br />Invoice and affidavit of publication <br />of sale notice and proposal solicitation <br />t 4. <br />Public nc lice of intention to execute <br />contract <br />1 1 5. <br />Invoice and affidavit of publication <br />of intent <br />' ' 6. <br />Authorized Renewal Agency signatures <br />t ' t 7. <br />Evidence of recording contract with County <br />Department of Records and Elections <br />t t S. <br />Evidence of equity capital and mortgage <br />financing commitment <br />t ' t ' 9. <br />Deed copy <br />t 1 1 1 10. <br />Title Insurance copy <br />11. <br />Record of purchase price <br />t 1 1 1 12. <br />Documentation of EEO conference with <br />developer <br />' t 13. <br />Certificate of completion <br />THIS CONTRACT TERMINATES ON /-1 . IT SHOULD BE REVIEWED BY N ~A ON <br />cq-00a1 (1/801 <br />Dale: 4Y--:;IL3- S,3 <br />Federal Funds: ED`tes GNo <br />